Central Nursing Home - Chicago Nursing Home

General Information

UPDATE

Federal Provider Number

145648

Provider Name

CENTRAL NURSING HOME

Provider Address

2450 NORTH CENTRAL AVENUE
CHICAGO, IL 60639

Provider Phone Number

(773) 889-1333

Provider SSA County

141

Provider County Name

Cook

Provider Website

Provider Description

Ownership Type

For profit - Corporation

Number of Certified Beds

245

Number of Residents in Certified Beds

230

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

CENTRAL NURSING AND REHABILITATION CENTER LLC

Date First Approved to Provide Medicare and Medicaid services

1989-08-04

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Resident

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

Health Inspection Rating Footnote

QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

RN Staffing Rating Footnote

Reported Staffing Footnote

Physical Therapist Staffing Footnote

Reported CNA Staffing Hours per Resident per Day

0.85717

Reported LPN Staffing Hours per Resident per Day

0.23478

Reported RN Staffing Hours per Resident per Day

0.53087

Reported Licensed Staffing Hours per Resident per Day

0.76565

Reported Total Nurse Staffing Hours per Resident per Day

1.62282

Reported Physical Therapist Staffing Hours per Resident Per Day

0.02478

Expected CNA Staffing Hours per Resident per Day

2.20275

Expected LPN Staffing Hours per Resident per Day

0.60146

Expected RN Staffing Hours per Resident per Day

1.16407

Expected Total Nurse Staffing Hours per Resident per Day

3.96828

Adjusted CNA Staffing Hours per Resident per Day

0.95482

Adjusted LPN Staffing Hours per Resident per Day

0.32399

Adjusted RN Staffing Hours per Resident per Day

0.34076

Adjusted Total Nurse Staffing Hours per Resident per Day

1.64843

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2014-09-18

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2013-08-16

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2012-07-26

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

48.66700

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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